Urological Complications in 200 Renal Transplantations

Lee, You Sik; Hwang, Tae Kon; Yoon, Moon Soo; Park, Yong Hyun; Lim, Soo Kil

Abstract

We evaluated the urological complications in 200 renal transplantations performed in the Department of Urology, Catholic Medical College between March 1969 and April 1986. The following results were obtained; 1. Of 200 cases of recipient 151 cases were male and 49 cases were female. 2. The ureteroneocystostomy was performed as the method of modified Politano-Leadbetter (intravesical approach) in 66 cases and modified Mackinnon (extravesical approach) in 134 cases. 3. Our incidence of urological complications in 200 renal transplantations was 7%1l4 cases). Postoperative complications developed in Il of the 66(l6.7%) who underwent intravesical ureteroneocystostomy and 3 of the 134(2.2%) who underwent extravesical ureteroneocystomy. 4. The details of the complications were as follows: 6 were ureteral obstruction, 5 ureteral leakage, 2 urine leakage from anastomosis site and 1 was bleeding from anastomosis site. 5. Operative method for urological complications were ureteroureterostomy (10) in ureteral obstruction(6) and ureteral leakage (4), ureteroneocystostomy (1) in ureteral leakage, simple suture (2) in bleeding(1) and urine leakage from anastomosis site(2).